Individual
JOHN W WILLIAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 W 40TH AVE, STE 2B, PINE BLUFF, AR 71603-6957
(870) 535-7457
(870) 535-2522
Mailing address
PO BOX 1272, PINE BLUFF, AR 71613-1272
(870) 535-7457
(870) 535-2522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001373
AR
367500000X
Certified Registered Nurse Anesthetist
C01373
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148936701
—
AR
01
—
5W897
BCBS
AR
01
—
P00228816
RRMCR/PGBA
—
Enumeration date
06/20/2005
Last updated
02/01/2024
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